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Showing results for "incidents".

61. Nursing Home Survey on Patient Safety Culture: Background and Information for Translators (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/nursing-home/resources/infotransNHSOPS.pdf
    January 01, 2010 - Feedback & Communication About Incidents (More about this dimension: Typical errors/mistakes/incidents … In this nursing home, we talk about ways to keep incidents from happening again.

62. Toolkit for Engaging Patients To Improve Diagnostic Safety  | Agency for Healthcare Research and Quality
    www.ahrq.gov/diagnostic-safety/tools/engaging-patients-improve.html
    April 01, 2025 - Step 1: Prepare Your Organization Toolkit Infographic  (PDF, 743 KB) provides statistics about incidents

63. Fall Dashboard Data 2024 (xls file)
    www.ahrq.gov/sites/default/files/wysiwyg/npsd/Fall_Dashboard_Data_2024.xlsx
    January 01, 2024 - 3,088 62.8% 6,828 NOTE: The 'Injury' and 'No Injury' cells are calculated as the percentage of all incidents … procedure 0.4% 504 NOTE: The Activity Prior to Fall cells are calculated as the percentage of all incidents … Under 18 Unknown None 62.5% 15 NOTE: The Risk Factor cells are calculated as the percentage of all incidents … assisted Dislocation 0.5% 23 NOTE: The Type of Injury cells are calculated as the percentage of all incidents … 80 Yes Dislocation 0.6% 24 NOTE: The Type of Injury cells are calculated as the percentage of all incidents

64. Appendix B. References | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/hospital/candor/demo-program/grants/appb.html
    August 01, 2022 - The “Seven Pillars” response to patient safety incidents: Effects on medical liability processes and

65. Organizational Behavior Management in Health Care: Applications for Large-Scale Improvements in Patient Safety (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Cunningham_11.pdf
    January 29, 2008 - They include 16 classes of patient safety incidents (Table 1). … Although various patient safety incidents could be caused by a number of factors, Leape’s taxonomy reflects … A more recent report6 suggests that almost 60 percent of all patient safety incidents include: failure … This report also suggests the most lethal patient safety incidents—or those most closely associated … Two widely used taxonomies for patient-safety incidents and medical errors AHRQ PSIs Leape Typology

66. Nursing Home SOPS Translation Information | Agency for Healthcare Research and Quality
    www.ahrq.gov/sops/international/nursing-home/translators.html
    October 01, 2014 - Feedback & Communication About Incidents ( More about this dimension: Typical errors/mistakes/incidents … In this nursing home, we talk about ways to keep incidents from happening again. ( More about this item

67. Final Progress Report: Enhancing the Safety of Warfarin in the Nursing Home (pdf file)
    www.ahrq.gov/sites/default/files/2024-01/gurwitz-report.pdf
    January 01, 2024 - Data Sources/Collection Information on INR values, warfarin dosing, and warfarin-related incidents was … Abstractors identified possible warfarin-related incidents based on specified triggers: INR values of … Reviewers independently classified incidents, including whether a warfarin-related adverse event or … Nurse abstractors identified 782 possible warfarin-related incidents during the study. … We used the subsequent physician review process to cull incidents that were not found to identify a

68. Final Progress Report: A Pilot Study for Intrgrating Facility Information With Healthcare Information to Improve Patient Safety (pdf file)
    www.ahrq.gov/sites/default/files/2024-01/anumba-report_0.pdf
    January 01, 2024 - healthcare facility with domain experts to establish the handling and impact of critical facility failure incidents … Each Building/Facility incident has a relationship with one or many incidents of the Failures class. … A number of facility failure incidents were identified, and the role of facilities management personnel … clinical personnel are very important in avoiding and minimizing the impact of facility failures or incidents … Ongoing initiatives to help track patient safety information and record incidents and close calls include

69. Gap Analysis Facilitator's Guide: Appendix B | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3/apb.html
    August 01, 2022 - Is a risk manager available at all times to respond to patient safety incidents?

70. Chapter 2. Background | Agency for Healthcare Research and Quality
    www.ahrq.gov/research/shuttered/acfselection/chapter2.html
    July 01, 2018 - A Mass Casualty Care Strategy for Biological Terror Incidents: Neighborhood Emergency Help Center. … A Mass Casualty Care Strategy for Biological Terror Incidents: Acute Care Center.

71. Daily Goals During Interdisciplinary Rounds: Slide Presentation | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/tools/mvp/modules/cusp/daily-goals-rounds-slides.html
    February 01, 2017 - Development of an evidence-based framework of factors contributing to patient safety incidents in hospital … Development of an evidence-based framework of factors contributing to patient safety incidents in hospital

72. Module: Daily Goals During Interdisciplinary Rounds
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/dailygoals-rounds-slides.pptx
    January 01, 2017 - Development of an evidence-based framework of factors contributing to patient safety incidents in hospital … Development of an evidence-based framework of factors contributing to patient safety incidents in hospital

73. SOPS Nursing Home Survey Version 2.0 Items and Composite Measures (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursing-home-items-composite-measures-english-2.0.pdf
    June 05, 2025 - This nursing home makes changes to prevent the same incidents from happening again.

74. Final Progress Report: Oral Chemotherapy Safety in Ambulatory Oncology: A Proactive Risk Assessment (pdf file)
    www.ahrq.gov/sites/default/files/2024-01/weingart-report.pdf
    January 01, 2024 - Administration (FDA) and Institute for Safe Medication Practices (ISMP); by eliciting de-identified incidents … Sources of oral chemotherapy event reports Source Dates of Search Source Detail Number of Incidents … center 177 (25.2) 50 (25.9) 127 (25.0) Incident Reports 12/3/03 – 3/25/08 Staff-reported incidents … Incidents derived from the literature search and hospital incident reporting system included a larger … The strengths of the study include the variety of sources used to identify oral chemotherapy-related incidents

75. Appendix A: References and Available Abstracts | Agency for Healthcare Research and Quality
    www.ahrq.gov/research/shuttered/acfselection/appendixa.html
    July 01, 2018 - The aim of this article is to review the characteristics of contingency plans for mass-casualty incidents … "Reduction in critical mortality in urban mass casualty incidents: analysis of triage, surge, and resource … guided missiles directed into the Pentagon and New York's Twin Towers in 2001 (9/11) and the tragic incidents … Comprehensive disaster responses include addressing the unique needs of children during mass-casualty incidents … The health care system must respond to disasters of all types, whether the incidents occur in urban or

76. Chapter 4. Results | Agency for Healthcare Research and Quality
    www.ahrq.gov/research/shuttered/acfselection/chapter4.html
    July 01, 2018 - In the case of small incidents, one person may be able to perform multiple functions. … Incidents can, for example, include major disasters, emergencies, terrorist attacks, terrorist threats … integrated organizational structure that reflects the complexity and demands of single or multiple incidents … It is used for all kinds of emergencies and is applicable to small as well as large and complex incidents … Mitigation measures are often informed by lessons learned from prior incidents.

77. Final Progress Report: Communication to Prevent and Respond to Medical Injuries: WA State Collaborative (pdf file)
    www.ahrq.gov/sites/default/files/2024-01/gallagher1-report.pdf
    January 01, 2024 - in practice, put only serious-harm cases through their resolution process, we decided to make all incidents … obtained through meetings and contacts with the partner sites and analysis of case-level data on incidents … at each hospital; to compare experiences across hospitals; and to identify factors associated with incidents … Its insured physicians often did not promptly notify it when incidents occurred, and hospital risk managers … Involved personnel and their managers had difficulty getting past these incidents, and the negative

78. Hospital Evacuation Decision Guide (Table 6) | Agency for Healthcare Research and Quality
    www.ahrq.gov/research/shuttered/hospevactab6.html
    July 01, 2018 - Have any other incidents occurred that increase the likelihood that an evacuation order will be issued

79. Final Progress Report: Identifying and Reducing Errors in Perioperative Anesthesia Medication Delivery (pdf file)
    www.ahrq.gov/sites/default/files/2025-02/catchpole2-report.pdf
    January 01, 2025 - word-of-mouth and ad-hoc conversations, hospital and national databases, and information from local incidents … word-of-mouth and ad-hoc conversations, hospital and national databases, and information from local incidents … The survey explored perceptions of the frequency of critical incidents in NORA, gathered descriptions … of these incidents, and examined different causes (e.g., environmental, organizational, personal, … Anaesthesia provider perceptions of system safety and critical incidents in non-operating theatre anaesthesia

80. Gap Analysis Facilitator's Guide: Appendix C | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3/apc.html
    August 01, 2022 - Is a risk manager available at all times to respond to patient safety incidents?